Doctor insights on:
Swollen lymph nodes in arm pits, possibly new one in chest. Blood tests reveal high wbc, all other normal. Dr suggests lymphodectomy? Why?
Lymph glands are located throughout the body and help fight infections. They also. Are the 1st place cancer tends to spread. A lymphadenectomy removes tha fat and lymph glands in an area that cancer may spread to and is an operation to "stage" the cancer to see ...Read more
Staging procedure: The sentinel node represents the first node in the lymphatic chain and thus is able to predict the status of the other nodes. It is found by mapping which involves injecting dyes (nuclear medicine &/or vital blue) which travel the potential pathways the cancer cells would travel allowing identification, removal, & histologic evaluation. ...Read more
Remove tumor: This is a relatively unusual operation, but when recommended, it is usually done in order to reduce the risk of tumor recurring in these lymph nodes. Sometimes this operation done just to find out if the cancer has already spread to these lymph nodes. Fortunately, there are other tests, such as eus-fna which can make that diagnosis without having the operation. ...Read more
Node dissection: Lymph glands are located throughout the body and help fight infections. They also. Are the 1st place cancer tends to spread. A lymphadenectomy removes tha fat and lymph glands in an area that cancer may spread to and is an operation to "stage" the cancer to see if it has spread. ...Read moreSee 2 more doctor answers
Mostly: Surgeons use many tools: clips, ties, electrocautery, ultrasound (harmonic scalpel). Unfortunately, there are always small lymphatic vessels that are not controlled and that is why most surgeons leave drains in for a period of time. Inguinal (groin) lymphadenectomy is particularly problematic. ...Read moreSee 1 more doctor answer
If C2,very effective: Colon cancer is classified by Dukes staging with B lesions reaching serosa and C1 up to 4 mesenteric nodes and C2 more than 4 nodes. Leaving these nodes beind can be disasterous for the patient. A lymphadenectomy remoing mesentery down to aorta for left sided lesions cand definitely improve survival. ...Read more
Limit Drainage: When removing lymph nodes, it is necessary to cut the small vessels running to-and-from the nodes. These vessels carry fluid that eventually is transported back to the circulation. If we remove just a few nodes (sentinel lymph node biopsy), the drainage is minimal; with extensive lymphadenectomies, the drainage can be a nuisance, requiring prolonged tube drainage. Ideally, the clips may help. ...Read more
Usually not: when doing a lymphadenectomy, the nodes are usually found along the major venous systems such as femoral vein, vena cava, axillary vein, jugular vein. Here it is essential to clip to venous structures and arterial branches feeding the nodes. One does not specifically look for microscopic lymphatic channels which for the most part travel along with the venous structures and are clipped as such. ...Read more
Billroth II recon; tube jejunostomy (witzel) d1 lymphadenectomy and celiac nodes, can you tell me more?
Stomach lesion: Billroth II reconstruction is utilized for stomach malignancies where antrum and pylorus are removed and to reconnect the proximal stomach to the intestine , a loop of proximal jejunum is attached end of transected stomach to side of jejunum. Jejunostomy is a tube inserted into distal jejunum for feeding purposes, with lymphadenectomy to remove possible metastatic lymph nodes. ...Read more
I had a lymphadenectomy on my right groin a month ago with negative results. Since then i noticed a new pea-sized lymph node near the biopsy site. ?
Good to hear that: Almost all young men have palpable groin lymph nodes if they check. Often it's dermatopathic lymphadenopathy from going barefoot. You lost a node and now have a new replacement. Show your surgeon if it worries you. ...Read more